ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client’s risk of developing a pressure injury?
Correct Answer: C
Rationale: Elevating heels off the mattress prevents pressure injuries on this vulnerable area. Four-hour repositioning is too infrequent (2 hours is standard), a 60° angle risks sacral pressure, and massaging increases tissue damage risk.
Question 2 of 5
A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: B
Rationale: A syringe with a catheter provides controlled irrigation, cleaning the wound effectively. One pair of gloves risks contamination, 5-min analgesia is too short, and cold solution causes discomfort.
Question 3 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following should the nurse perform first?
Correct Answer: A
Rationale: Asking the family about assisting respects cultural/religious preferences, setting a respectful tone for care. Dentures stay in for facial shape, eyes are closed gently, and bright lights aren’t needed—soft lighting is preferred.
Question 4 of 5
A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client’s BP is 158/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Rechecking BP in the other arm confirms accuracy and checks for discrepancies (e.g., arterial issues). Cuff width should be 40%, supine repositioning isn’t needed, and waiting 30 min delays assessment.
Question 5 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don’t swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: A
Rationale: Assault is a threat causing apprehension of harm. The nurse’s statement threatens an injection, constituting assault. Defamation involves false statements, battery is physical contact, and invasion of privacy involves private affairs—none apply here.